Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.69 / $2,987.00 / $6,915.00	Facility		$218.69	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $220.97 / $377.07	Professional		$118.44	$220.97	$377.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,922.10 / $4,819.75	Facility		$450.00	$1,922.10	$4,819.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.32 / $263.58 / $460.19	Professional		$156.32	$263.58	$460.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.47 / $270.47 / $270.47	Facility		$270.47	$270.47	$270.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $109.74 / $109.74	Professional		$109.74	$109.74	$109.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.32 / $506.00 / $703.00	Facility		$182.32	$506.00	$703.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.29 / $240.27 / $474.52	Professional		$140.29	$240.27	$474.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $243.86 / $359.02	Professional		$138.16	$243.86	$359.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $416.30 / $596.20	Professional		$5.00	$416.30	$596.20
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.27 / $276.70 / $463.35	Professional		$195.27	$276.70	$463.35